[Wendy Grey]

We are looking to use Contain 5000 for the hypochlorite cleaning of our C Diff rooms.
The standard dilution provided by the manufacturers is 5000mg/L
regards
Wendy Grey
Wendy Grey
Nursing Director of Infection, Prevention and Control
IMB 64
PO Box 670
Townsville Hospital 4810
Fax : 4796

>>> Michelle Callard 15/07/2010 9:54 am >>>

Is anyone using or know of a chlorine containing product with TGA approval for use in C.difficile environmental disinfection.
A study out of Canada has found that 5000mg/L available chlorine had the most consistent sporicidal effect compared with solutions of 1000mg/L and 3000mg/L. I am aware that the AICA position paper recommends a solution of 1000ppm of available chlorine.
Many thanks
Michelle Callard
Area Infection Control Consultant
Clinical Governance Unit
Greater Southern Area Health Service
7 Pacific Street
Batemans Bay NSW 2536
P : (02) 4475 1694
M : 0419018890

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[Wendy Grey]

The main issue with this is, do you then screen in all your patients to Orthopaedics? Unless you screen every single patient on arrival and regularly (if they stay for long periods of time) You can of course isolate those identified with an MRO but unless you screen everyone you may be admitting patients who you are not aware are already colonised.
In the UK some areas do have a designated Ortho clean ward where such screening takes place and where they do not take any colonised patients. It is only used for elective, planned and pre assessed patients
regards
Wendy
Wendy Grey
Nursing Director of Infection, Prevention and Control
IMB 64
PO Box 670
Townsville Hospital 4810
Fax : 4796

>>> “Grimes, Andrea” 6/07/2010 10:42 am >>>
Hi Michael,

All our orthopaedic patients are accommodated in the ortho unit unless they are requiring care in HDU.
Any ortho patients that are colonised or have an active infection are always allocated a single room.
I agree this is sometimes a very contentious issue with some ortho surgeons but we always try to influence them with policy! 🙂

Cheers, Andrea

Andrea Grimes | ICC | WHS | RRTWC
Cairns Private Hospital
t: 07) 4052 5274 f: 07) 4052 5188 m: 0417 714 374
e: grimesa1@ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please consider the environment before printing this email.
Save lives – Clean your Hands

—–Original Message—–

Hi all

Just some quick questions about orthopaedic patients with infections.

1. Do you accommodate orthopaedic patients with active wound infection
on your post-op orthopaedic wards?
2. In particular, do you accommodate orthopaedic joint surgery patients
with active wound infections on the same ward as post-op orthopaedic
joint surgery patients?
3. Do you allow patients colonised with MRSA or ESBL’s to be
accommodated on the same ward as post-op orthopaedic joint surgery
patients?
4. If yes to any of the above, are patients on orthopaedic wards with
colonisation or infections always placed in single rooms?

These are contentious issues for orthopaedic surgeons in our facility
(and probably many other facilities!), so any comments or thoughts on
risks and risk management strategies to prevent joint infections
post-operatively would be appreciated.

Does any one know of any useful published guidelines about this?

Thanks
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

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